RHODOCOCCUS
Rhodococcus is a genus of
aerobic actinomycetes with characteristics similar to those of Nocardia. Morphologically the rods vary
from cocci to long, curved, clubbed forms.Some strains are acid-fast. Rhodococcus has recently been recognized
as an opportunistic pathogen causing an aggressive pneumonia in severely
immunocompromised patients, particularly those with acquired immunodeficiency
syndrome. The organisms are found in the soil. One species, Rhodococcus equi, has an association
with horses where it also causes pneumonia in foals. This species is a
facultative intracellular pathogen of macrophages with features somewhat
similar to those of Legionella and Listeria. Optimal treatment is unknown,
although erythromycin, aminoglycosides, and someβ-lactams show in vitro
activity.
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